| NPI | 1508496167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 235607) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ RNP235607) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2023-08-15 |